| NPI | 1568617389 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | NICOLE WEIDENBAUM Executive Director 631-462-0386 |
| Organization Subpart ? | No |
| Primary Taxonomy | 252Y00000X Early Intervention Provider Agency |
| Enumeration Date | 2008-11-20 |
| Last Update Date | 2008-11-20 |